The PASRR Technical Assistance Center helps states fulfill the goals of Preadmission Screening and Resident Review

Resources

FAQ
MDS
Dec 8, 2017
PASRR is guided by federal regulations that require: (1) all individuals being considered for admission to a Medicaid-certified nursing facility (NF) be screened prior to admissi
FAQ
Interfacility Transfer
Dec 8, 2017
According to 42 CFR §483.106(b)(4) of the Code of Federal Regulations (CFR), when an individual is transferred from one nursing facility (NF) to another NF, with or without an intervening hospital stay, the individual is not considered a “new admission” and does not need preadmission screening.
FAQ
Change in Condition
Dec 8, 2017
Per Section 1919(e)(7)(B)(iii) of the Social Security Act,  Resident Reviews are required for NF residents experiencing a “significant change in condition.” (Note that this provision replaced the requirement that PASRR Resident Reviews must b
FAQ
Resident Review
Dec 7, 2017
Originally when the PASRR regulations were completed in 1992, Resident Reviews were required annually.
FAQ
Level II, Dementia
Jul 26, 2017
PASRR regulations at 42 CFR 483.128(m) permit Level II evaluations to be terminated if the Level II evaluator finds that individual has: “A primary diagnosis of dementia (including Alzheimer’s Disease or a related disorder)” (42 CFR 483.128(m)(2)(i)); or
FAQ
Dementia, Categorical Determinations, Intellectual Disability
Jul 26, 2017
States may apply the categorical determination at 42 CFR 483.130(h), to address a decision not to provide specialized services to individuals with dementia and intellectual disability. “(h) Categorical determinations: Dementia and ID.
FAQ
Dementia, Mental Illness
Jul 26, 2017
The dementia exclusion for mental illness allows for the Level II evaluator to stop the evaluation if they determine that the diagnosis of dementia is primary and the mental illness (MI) diagnosis is secondary.  It is important to note that the diagnosis or verification of a diagnosis of MI and...
FAQ
Dementia, Mental Illness, Intellectual Disability
Jul 26, 2017
It can often be difficult to determine where MI/ID ends and dementia begins. Like ID/DD, dementia can manifest as cognitive impairments. Like MI, dementia can lead to anxiety, depression, or acute behavioral problems.
FAQ
Level II, Laws and Rules
Jul 26, 2017
Since the ICD-10-CM coding went into effect on October 1, 2015, some State PASRR programs have reported an increase in PASRR volume, particularly in referrals for Level II Resident Reviews. The increase is largely attributed to the computer algorithm that converted ICD-9 codes to ICD-10 codes.
FAQ
Record Keeping
Jun 24, 2017
The most recent version of the Review of State PASRR Policies and Procedures National Report was released in March 2017.
FAQ
Facilities, Specialized Services
Jun 29, 2016
CMS recently updated its guidance on Specialized Services to clarify that Specialized Services can only be provided while individuals reside in nursing facilities. States are obligated to provide or arrange for the disability-specific services that individuals need while in NFs.
FAQ
Intellectual Disability, Federal Regulations, Testing
May 15, 2015
There is a common misconception about this. The simple answer is "no" -- a test of intllectual functioning is not required. Here's the reasoning, broken down into its components:
FAQ
Level I, Personnel
Feb 24, 2015
Oversight responsibility for Level I screens rests with the state Medicaid agency, although all involved parties are eligible to conduct the Level I screens, including nursing facilities, the state mental health authority, the state intellectual disability authority, or an independent entity (such...
FAQ
Level II, Personnel
Jun 11, 2014
Yes, hospitals can perform Level II evaluations -- provided they have the qualified staff. In order to complete these evaluations, hospitals would first have to negotiate payment rates with the relevant state agency.
FAQ
Hospital Discharge Exemptions
Jan 22, 2014
The hospital discharge exemption is the only true exemption from the requirements of PASRR. The exemption applies to individuals who are discharged from a hospital into a Medicaid-certified nursing facility (NF) and their stay is expected to last no more than 30 days.
FAQ
75% Match
Jan 22, 2014
The July 2013 PASRR webinar took place on Tuesday, July 9 at 1PM Eastern (10AM Pacific) and featured Dr. Ed Kako, Director of the PASRR Technical Asisstance Center (PTAC) and Dan Timmel, PASRR policy director at the Centers for Medicare and Medicaid Services.
FAQ
Level I
Jan 16, 2014
The CFR does not prescribe a particular method of conducting Level I evaluations, leaving states open to their own interpretations. In general, the Level I evaluation is based on pre-existing information, such as prior mental health diagnoses, and information gathered by the screener.
FAQ
Timing, Level I
Jan 16, 2014
A PASRR Level I screen must be completed for all applicants to a Medicaid-certified nursing facility, regardless of payer. A Level I screen must be completed before a resident can be admitted into a nursing facility.
FAQ
Level I
Jan 16, 2014
The Level I evaluation is the preliminary screen that identifies suspected intellectual disability, mental illness, or a related condition. The Level I screen is a vital “gatekeeper” to the process of identifying disability-specific needs and evaluating appropriate placement.
FAQ
FFP
Sep 18, 2013
Claims for PASRR activities are submitted by the Single State Medicaid Agency to CMS on a quarterly basis via Form CMS-64.

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